SYED O WASIM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****30

License Status

NOT RENEWED

Business

First Name

SYED O

Last Name

WASIM

Suffix

Business Name

SYED O WASIM MD

Original Issue Date

06/30/1995

Effective Date

06/30/1995

Expiration Date

07/31/1996

City

CHICAGO

State

Zip

60607

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006